Death Certificate - Bingham, Minerva S_1/19/1984e
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RBCORD OF DEATH
GIBSON COUNT]' DPPARTMENT OF HEALTH
, YRINCk:TON, IN6(ANA
THIS IS TO CERTIFY, thnt Our recOrd6 show M7.S1ER1lA S_—R?Nf;NAM died
4/29/SO 8t. 9:90PM Gib. Gen. Hosp. Princeton, Ind.
month day , year . hour of death street, hoepitnl, rural _
Age st Aeath 85 Sex Fe. Color �' YIarital Statu� Single
yeern ' ' write whether married or aingle
Prim:in• cxuse of death given was Cong. heart tailure
Signed bp �^1m. R. A'ells, MD Princeton, Ind.
physician or coroner address
Placc of burial or removal Oak Hill 1'atoka, Ind.
� nnme of r.emr,Lery xddress
Date of buria; � 5/1/80 Colvin Princeton, Ind. _ _
� � Funeral Director � addreve
SEAL
' �G�ta"'ii� ,�,v
s;gned_
Gibeon County Henith Commi �oner
Oakland City, Ind. 1/19/84
. . _— BadT¢PA � aIII4
Rxo��ded locally in book No. 10 Page No. 11 FSled: 5/5/80